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General NPI Number Information
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NPI Number | 1760922876
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Entity Type | Organization
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Legal Business Name | GUARDIANS OF CARE, LLC
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Dates
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Enumeration Date | 03/08/2017
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Last Update Date | 06/26/2018
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Provider Practice Location Address
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Address Line | 733 S GOLDENROD RD STE B
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City | ORLANDO
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State | FL
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Zip | 32822
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Country | US
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Telephone | 407-249-7999
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Fax | 407-249-0309
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Provider Business Mailing Address
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Address Line | 483 N SEMORAN BLVD STE 209
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City | WINTER PARK
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State | FL
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Zip | 32792-3800
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Country | US
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Telephone | 407-571-1056
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Fax | 321-274-0322
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Authorized Official
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Title or Position | OWNER
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Name | SANDEEP BAJAJ
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Credential | M.D
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Telephone | 407-215-6320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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